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  • Commercial Health Care: What’s Next?
    Commercial Health Care: What’s Next? This article contains excerpts from the first three articles that ... initiative - Commercial Health Care: What’s Next? health policy;Health care reform;gender factors;health ...

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    • Date: Oct 2017
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Influence decisions; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Public Policy; Public Policy
  • ERISA Preemption and Managed Care Organizations
    ERISA Preemption and Managed Care Organizations Court cases demonstrating how ERISA Preemption Clause ... Clause makes it difficult for members to sue Managed Care Organizations MCOs. Issue No. 41. Employee Retirement ...

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    • Authors: Louis Lana
    • Date: Sep 2001
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context
    • Publication Name: Health Watch
    • Topics: Public Policy
  • New Managed Care Risk-Based Capital
    New Managed Care Risk-Based Capital Managed Care Risk-Based Capital new formula for HMOs and BCBS plans ... use of RBC Issue No. 37. Long-term care insurance=LTCI;Managed care;Risk-based capital=RBC;Stop-loss insurance; ...

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    • Authors: Donna C Novak
    • Date: Apr 2000
    • Competency: External Forces & Industry Knowledge>Internal forces and business performance
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health risks
  • The Crisis in American Health Care
    The Crisis ... American Health Care Ian Duncan argues that there is no crisis in American health care. Global markets;Health ... markets;Health care costs;Health care quality; 9456 5/1/2008 12:00:00 AM ...

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    • Authors: Ian G Duncan
    • Date: May 2008
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care
  • Value-Based Care: The Role of the Health Care Provider Actuary A Health Section Strategic Initiative
    Value-Based Care: The Role of the Health Care Provider Actuary A Health Section Strategic Initiative ... Strategic Initiative Committee. Health economics;Health care costs;Payment reforms 6442480947 2/1/2018 12:00:00 ...

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    • Authors: Gregory Fann
    • Date: Feb 2018
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Payment models
  • New Research Study Measurement of Health Care Quality and Efficiency: Resources for Health Care Professionals
    Study Measurement of Health Care Quality and Efficiency: Resources for Health Care Professionals Review of ... and physicians. Analytics and informatics;Health care quality;Statistical methods;Value-based insurance ...

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    • Authors: Sara Teppema
    • Date: Sep 2009
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Results-Oriented Solutions>Assess decision effectiveness; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care quality; Modeling & Statistical Methods>Data mining; Technology & Applications>Analytics and informatics; Technology & Applications>Business intelligence
  • Predictive Modeling: Considerations for Care Management Applications
    Predictive Modeling: Considerations for Care Management Applications Considerations in the applications ... Predictive Modeling for health care management. Issue No. 47. Health care quality; 9425 4/1/2004 12:00:00 ...

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    • Authors: Keith Passwater, Brent Seiler
    • Date: Apr 2004
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care
  • Accountable Care Organizations: An Untapped Opportunity
    Accountable Care Organizations: An Untapped Opportunity Since health care reform has made accountable ... accountable care organizations a hot topic, an SOA workgroup is addressing relevant questions, including provider ...

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    • Authors: Jim Toole, Sara Teppema
    • Date: Sep 2010
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Enterprise Risk Management>Risk measurement - ERM; Enterprise Risk Management>Strategic risks; Health & Disability>Health care; Public Policy
  • Provider Payment Reform: An Accountable Care Approach to Alignment of Health Care Goals and Incentives
    Payment Reform: An Accountable Care Approach to Alignment of Health Care Goals and Incentives A proposal ... payment issues by gradually moving to accountable care organizations. Capitations would be risk-adjusted ...

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    • Authors: Mark Florian
    • Date: Sep 2010
    • Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health care quality; Health & Disability>Payment models; Public Policy; Reinsurance>Stop-loss insurance
  • The Simple Logic of Health Care Inflation
    The Simple Logic of Health Care Inflation Why health care inflation exceeds the Consumer Price Index ...

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    • Authors: Gerry Smedinghoff
    • Date: Apr 2000
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Economics>Health economics